Roughley, Matthew
Roughley, Matthew is an sole proprietor health care provider with primary practice located at 280 S Main St Ste 200 , Orange CA 92868-3852. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Roughley, Matthew can be contacted via phone (714) 937-2155.Contact Information
Primary practice address
280 S Main St Ste 200
Orange CA 92868-3852
Phone: (714) 937-2155
Fax: (714) 634-4321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1801497771 |
|---|---|
| LBN Legal business name | Roughley, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2020 |
| Last updated | Sep 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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